# CENTRAL KANSAS UROLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710936521
- **Authorized official:** BRYAN DAN WITT D.O. (PRESIDENT)
- **Authorized official phone:** (620) 653-7306

## Contact information

- **Practice address:** 353 W 10TH ST, HOISINGTON, KS 67544-1715
- **Practice address phone:** (620) 653-7306
- **Practice address fax:** (620) 653-2968
- **Mailing address:** 353 W 10TH ST, HOISINGTON, KS 67544-1715
- **Mailing address phone:** (620) 653-7306
- **Mailing address fax:** (620) 653-2968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 21018 | KS | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020
